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Role Summary

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HIGHLIGHTS

Director-level health actuary role in Tulsa, OK focused on Medicare Advantage and ACA pricing, risk adjustment, and reserving. You will build an internal actuarial function, lead a team on MA/ACA Risk Adjustment and RADV, support large-group pricing and provider/network analytics, and partner with underwriting, finance, and marketing.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Advantage and ACA pricing, bids, and RADV/risk-adjustment work
  • Build and lead an internal actuarial function for the health plan
  • Oversee IBNR, PDR and other actuarial accrual development
  • Partner with Underwriting, Finance, Marketing and Medical Management
  • Onsite role based in Tulsa, OK; Director-level with team leadership

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid process
  • Medicare Advantage and ACA Risk Adjustment and RADV analysis
  • Large Group pricing model analysis
  • Health insurance actuarial experience including IBNR and PDR

KEY REQUIREMENTS

  • 8+ years of actuarial experience in health insurance
  • Associate of the SOA (ASA) required
  • Hands-on Medicare Advantage pricing and bid process experience
  • Experience with Medicare Advantage and ACA Risk Adjustment and RADV
  • Proficient in SAS and/or other SQL-based tools

TECH STACK

  • Excel
  • Access
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Role Summary

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HIGHLIGHTS

Director-level health actuary role in Tulsa, OK focused on Medicare Advantage and ACA pricing, risk adjustment, and reserving. You will build an internal actuarial function, lead a team on MA/ACA Risk Adjustment and RADV, support large-group pricing and provider/network analytics, and partner with underwriting, finance, and marketing.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Advantage and ACA pricing, bids, and RADV/risk-adjustment work
  • Build and lead an internal actuarial function for the health plan
  • Oversee IBNR, PDR and other actuarial accrual development
  • Partner with Underwriting, Finance, Marketing and Medical Management
  • Onsite role based in Tulsa, OK; Director-level with team leadership

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid process
  • Medicare Advantage and ACA Risk Adjustment and RADV analysis
  • Large Group pricing model analysis
  • Health insurance actuarial experience including IBNR and PDR

KEY REQUIREMENTS

  • 8+ years of actuarial experience in health insurance
  • Associate of the SOA (ASA) required
  • Hands-on Medicare Advantage pricing and bid process experience
  • Experience with Medicare Advantage and ACA Risk Adjustment and RADV
  • Proficient in SAS and/or other SQL-based tools

TECH STACK

  • Excel
  • Access

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Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced health actuary (Director) with 8+ years in health plans, ASA credential, deep Medicare Advantage pricing and RADV experience, and strong SAS/SQL and leadership skills.

ASA

Benefits

Shortlist Forming
Closing Soon
17d
17 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced health actuary (Director) with 8+ years in health plans, ASA credential, deep Medicare Advantage pricing and RADV experience, and strong SAS/SQL and leadership skills.

ASA

Benefits

Shortlist Forming
Closing Soon
17d
17 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Insurer/Director Level
CommunityCare

Accounting/Finance - Director Actuary 125-7000

CommunityCare•Tulsa, United States•2w ago
OnsiteMedicare AdvantageACA ExchangeCommercial Employer HealthPricing & RatingUW Support & Portfolio ManagementRegulatory Reporting